Individual ProviderJenny LePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, Philadelphia, PA 19104-4238(215) 662-3487PECOS EnrollmentBased on the most recent information from CMS, provider Jenny Le is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1033402755Provider TypeIndividualFull NameLe, JennyCredentialRDGenderFemaleSole ProprietorNoEnumeration Date5/27/2011Last Updated7/21/2022Contact InformationPractice LocationPractice Address3400 Spruce St, Philadelphia, PA 19104-4238Phone(215) 662-3487Fax(215) 349-5534Mailing LocationMailing Address3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4206Phone(215) 662-3487Fax(215) 349-5534Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA058969PennsylvaniaCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted IssuerPennsylvania